Individual
MAIRA VERONICA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
(775) 786-6899
Mailing address
7077 VISTA BLVD UNIT 5103, SPARKS, NV 89436-8026
(775) 857-8813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/08/2021
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